Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 8/2015

01-08-2015

Face, content, and construct validity of four, inanimate training exercises using the da Vinci ® Si surgical system configured with Single-Site ™ instrumentation

Authors: Anthony M. Jarc, Myriam Curet

Published in: Surgical Endoscopy | Issue 8/2015

Login to get access

Abstract

Background

Validated training exercises are essential tools for surgeons as they develop technical skills to use robot-assisted minimally invasive surgical systems. The purpose of this study was to show face, content, and construct validity of four, inanimate training exercises using the da Vinci ® Si surgical system configured with Single-Site ™ instrumentation.

Methods

New (N = 21) and experienced (N = 6) surgeons participated in the study. New surgeons (11 Gynecology [GYN] and 10 General Surgery [GEN]) had not completed any da Vinci Single-Site cases but may have completed multiport cases using the da Vinci system. They participated in this study prior to attending a certification course focused on da Vinci Single-Site instrumentation. Experienced surgeons (5 GYN and 1 GEN) had completed at least 25 da Vinci Single-Site cases. The surgeons completed four inanimate training exercises and then rated them with a questionnaire. Raw metrics and overall normalized scores were computed using both video recordings and kinematic data collected from the surgical system.

Results

The experienced surgeons significantly outperformed new surgeons for many raw metrics and the overall normalized scores derived from video review (p < 0.05). Only one exercise did not achieve a significant difference between new and experienced surgeons (p = 0.08) when calculating an overall normalized score using both video and advanced metrics derived from kinematic data. Both new and experienced surgeons rated the training exercises as appearing, to train and measure technical skills used during da Vinci Single-Site surgery and actually testing the technical skills used during da Vinci Single-Site surgery.

Conclusions

In summary, the four training exercises showed face, content, and construct validity. Improved overall scores could be developed using additional metrics not included in this study. The results suggest that the training exercises could be used in an overall training curriculum aimed at developing proficiency in technical skills for surgeons new to da Vinci Single-Site instrumentation.
Literature
1.
Haber G-P et al (2010) Novel robotic da Vinci instruments for laparoendoscopic single-site surgery. Urology 76(6):1279–1282PubMedCrossRef
2.
Kroh M et al (2011) First human surgery with a novel single-port robotic system: cholecystectomy using the da Vinci Single-Site platform. Surg Endosc 25(11):3566–3573PubMedCrossRef
3.
4.
Finnegan KT et al (2012) da Vinci Skills Simulator construct validation study: correlation of prior robotic experience with overall score and time score simulator performance. Urology 80(2):330–336PubMedCrossRef
5.
Hung AJ et al (2012) Concurrent and predictive validation of a novel robotic surgery simulator: a prospective, randomized study. The Journal of urology 187(2):630–637PubMedCrossRef
6.
Hung AJ et al (2011) Face, content and construct validity of a novel robotic surgery simulator. J Urol 186(3):1019–1025PubMedCrossRef
7.
Kelly DC et al (2012) Face, content, and construct validation of the da Vinci Skills Simulator. Urology 79(5):1068–1072PubMedCrossRef
8.
9.
Green I et al (2013) Creating a validated robotic curriculum for resident and fellow education. J Minim Invasive Gynecol 20(6):S130–S130
10.
Jarc AM, Curet M (2014) Construct validity of nine new inanimate exercises for robotic surgeon training using a standardized setup. Surg Endosc 28(2):648–656PubMedCrossRef
11.
Smith R, Patel V, Satava R (2013) Fundamentals of robotic surgery: a course of basic robotic surgery skills based upon a 14‐society consensus template of outcomes measures and curriculum development. Int J Med Robot 10(3):379–384
12.
Aghazadeh M et al (2014) Multi-institutional validation of fundamental inanimate robotic skills tasks (FIRST). J Urol 191(4 Supplement):e130–e131CrossRef
13.
Dulan G et al (2012) Proficiency-based training for robotic surgery: construct validity, workload, and expert levels for nine inanimate exercises. Surg Endosc 26(6):1516–1521PubMedCrossRef
14.
15.
Rosen J. et al. The BlueDRAGON-a system for measuring the kinematics and dynamics of minimally invasive surgical tools in vivo in Robotics and Automation, 2002. Proceedings. ICRA’02. IEEE International Conference on 2002: IEEE
16.
Ruda K et al (2013) SurgTrak—a universal platform for quantitative surgical data capture. J Med Devices 7(3):030923CrossRef
17.
Ramos P et al (2013) Validation of dry lab exercises for robotic training using global assessment tool. J Urol 189(4):e642CrossRef
Metadata
Title
Face, content, and construct validity of four, inanimate training exercises using the da Vinci ® Si surgical system configured with Single-Site ™ instrumentation
Authors
Anthony M. Jarc
Myriam Curet
Publication date
01-08-2015
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 8/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-014-3947-2

Other articles of this Issue 8/2015

Surgical Endoscopy 8/2015 Go to the issue

OriginalPaper

Efficacy and long-term outcome of pre-emptive endoscopic resection and surgery for multiple synchronous gastric cancers

OriginalPaper

Efficacy of laparoscopic-assisted approach for reversal of Hartmann’s procedure: results from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database

OriginalPaper

Laparoscopic versus open resection for transverse colon cancer

Review

Pulmonary recruitment maneuver to reduce pain after laparoscopy: a meta-analysis of randomized controlled trials

OriginalPaper

The effect of a preoperative warm-up with a custom-made Nintendo video game on the performance of laparoscopic surgeons

OriginalPaper

Effect of acellular human dermis buttress on laparoscopic hiatal hernia repair